Target intelligence / Profile preview

Adipose triglyceride lipase (ATGL)

Target
ATGL
Molecular classification
Enzyme, Lipase, Triglyceride hydrolase
01

Overview

Adipose triglyceride lipase (ATGL), encoded by the PNPLA2 gene, is a key enzyme responsible for the first and rate-limiting step of intracellular lipolysis—the hydrolysis of stored triglycerides into diacylglycerols and free fatty acids in lipid droplets. ATGL is highly specific for triglyceride substrates and plays a central role in energy homeostasis by mobilizing stored fats, especially during fasting or increased metabolic demand. The enzyme is tightly regulated by hormonal and protein-protein interactions, including activation by the co-activator ABHD5 (CGI-58) and inhibition by proteins such as G0S2. Defects or loss-of-function mutations in ATGL/PNPLA2 result in neutral lipid storage disorders with myopathy, while dysregulation is associated with broader metabolic diseases including insulin resistance, type 2 diabetes, non-alcoholic fatty liver disease, and inflammation. Experimental inhibitors such as Atglistatin are under development, but no clinically approved drugs target ATGL directly as of now[1][2][3][4].

Other names
Patatin-like phospholipase domain-containing protein 2PNPLA2DesnutrinTriglyceride hydrolaseCalcium-independent phospholipase A2-zetaTransport-secretion protein 2.2PEDF-R (Pigment epithelium-derived factor receptor)TTS2.2FP17548PLPL2_HUMAN
02

Mechanism of action

Inhibition of ATGL blocks the hydrolysis of triglyceride, reducing fatty acid release and downstream effects. Activation of ATGL increases lipolysis and fatty acid mobilization.

03

Biological functions

Lipolysis (hydrolysis of triglycerides to release fatty acids)Energy metabolismRegulation of lipid storageCellular signalingRegulation of cell growthRegulation of cell death
04

Disease associations

Metabolic disease (specifically, neutral lipid storage disease with myopathy)Type 2 diabetesInsulin resistanceFatty liver diseaseInflammation
05

Safety considerations

Excessive inhibition may cause abnormal fat accumulation and myopathyExcessive activation may lead to insulin resistance, type 2 diabetes, or fatty liver due to increased circulating free fatty acidsCritical balance is needed for safety—therapeutic challenges involve avoiding lipotoxicity or insufficient energy mobilization
06

Interacting drugs

Atglistatin (experimental ATGL inhibitor)

1 more in the full profile.

07

Biomarkers

PNPLA2/ATGL gene mutations for neutral lipid storage disease with myopathyAccumulation of triglycerides in muscle and tissue as a diagnostic marker for defective ATGL function

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